Severe ocular and orbital toxicity after intracarotid etoposide phosphate and carboplatin therapy.

Abstract:

PURPOSE:To report severe ocular and orbital toxicity after administration of intracarotid etoposide phosphate and carboplatin. METHOD:Case report. RESULTS:A 52-year-old man with glioblastoma multiforme underwent left intracarotid administration of eto poside phosphate and carboplatin inferior to the ophthalmic artery. Within 7 hours, a nonpupillary block angle-closure glaucoma developed secondary to uveal effusion in the ipsilateral eye, which was relieved by cycloplegia. Four days later, severe orbital inflammation resulted in a visual acuity of counting fingers, proptosis, optic neuropathy, and total external ophthalmoplegia in the eye. The patient's condition improved after a lateral cantholysis and administration of high-dose intravenous corticosteroids. Two weeks later, an anterior uveitis occurred in the left eye, which responded to topical corticosteroids. During a 2-month period, the patient recovered to a visual acuity of 20/70, near normal motility, and normal intraocular pressure, and the ocular and orbital inflammation resolved. Preexisting ipsilateral chemotherapy-induced maculopathy became more pronounced. CONCLUSION:Ocular and orbital toxicity after intracarotid etoposide phosphate and carboplatin therapy is infrequently reported.

journal_name

Am J Ophthalmol

authors

Lauer AK,Wobig JL,Shults WT,Neuwelt EA,Wilson MW

doi

10.1016/s0002-9394(98)00346-8

subject

Has Abstract

pub_date

1999-02-01 00:00:00

pages

230-3

issue

2

eissn

0002-9394

issn

1879-1891

pii

S0002939498003468

journal_volume

127

pub_type

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